SUSAN MARY BURKHART (NPI# 1447257571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447257571 |
| Entity Type | Individual |
| Full Name | SUSAN MARY BURKHART |
| Credential | M.D. |
| Practice Address |
801 Kidwell Drive St Mary's Clinic Versailles MO 65084 |
| Mailing Address |
P.o. Box 1027 Jefferson City MO 65102-1027 |
| Practice Telephone | 5733785454 |
| Practice Fax Number | 5733785055 |
| Mailing Telephone | 5737617246 |
| Mailing Fax Number | 5737616947 |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2012-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 104938 | MO | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 104938 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | FAMILY HEALTH PARTNERS | 32329 | 01 |
| MO | BCBS | 33968017 | 01 |
| MO | 2007903022 | 05 | |
| MO | HEALTH CARE USA | 5487 | 01 |
| MO | 207903022 | 05 | |
| MO | FRIST HEALTH | 853019 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306270442 | Susan E Burkhart | Social Worker | 824 Bowtown Rd, Delaware, OH 43015-9661 | 2013-08-26 |
| 1477692275 | Susan E Burkhart | Registered Nurse | 911 Northland Dr, Princeton, MN 55371-2172 | 2007-02-06 |
| Street Address |
801 KIDWELL DRIVE ST MARY'S CLINIC |
| City | VERSAILLES |
| State | MO |
| Zip Code | 65084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295123420 | Erin Eggen | Nursing Facility/Intermediate Care Facility | 1101 Clay Street, Versailles, MO 65084 | 2014-12-22 |
| 1053694422 | Regional Health Care Clinic, Inc | Clinic/Center | 1109 Clay Rd., Versailles, MO 65084 | 2011-09-22 |
| 1912133323 | Ida Mae Suttmoller | Counselor | 108 West Jasper, Versailles, MO 65084 | 2009-06-01 |
| 1649453408 | Kidwell Home | Assisted Living Facility | 1000 Kidwell Drive, Versailles, MO 65084 | 2007-12-14 |
| 1558480640 | Diana Moree Burdick | Nurse Practitioner | 102 North Fisher, Versailles, MO 65084 | 2007-03-28 |
| 1245370923 | Integrity Lifeskills LLC | Psychologist | Bremond St 506, Versailles, MO 65084 | 2007-02-08 |
| 1831250497 | Paul Howard | Family Medicine | 901 Kidwell Drive, Versailles, MO 65084 | 2006-12-13 |
| 1275570863 | Doris Elliott | Counselor | 112 N Highway 5, Versailles, MO 65084 | 2006-06-01 |
| 1730167164 | Frederick Michael Schekorra | Family Medicine | 901 Kidwell, Capital Region Medical Clinic Versailles, Versailles, MO 65084 | 2006-01-05 |
| 1659356731 | Nora Stephan Appelbaum | Nurse Practitioner | 1109 W Clay Rd, Versailles, MO 65084 | 2005-12-12 |
| Find all providers in zip 65084 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477862936 | Citizens for Health and Wellness | Family Medicine | 102 N Fisher St, Versailles, MO 65084-1202 | 2010-10-01 |
| 1831250497 | Paul Howard | Family Medicine | 901 Kidwell Drive, Versailles, MO 65084 | 2006-12-13 |
| 1457419665 | Henry M West | Family Medicine | 290 Lexington St, Versailles, KY 40383 | 2006-12-04 |
| 1881795441 | Katherine E. Froeschle | Family Medicine | 14093 Hopewell Rd, Versailles, MO 65084-4459 | 2006-09-26 |
| 1306807185 | Jennifer L Rawlins | Family Medicine | 10484 Kley Rd, Versailles, OH 45380-9561 | 2006-03-31 |
| 1003883646 | Daniel J Elshoff | Family Medicine | 471 Marker Rd, Versailles, OH 45380-9324 | 2006-03-02 |
| 1730167164 | Frederick Michael Schekorra | Family Medicine | 901 Kidwell, Capital Region Medical Clinic Versailles, Versailles, MO 65084 | 2006-01-05 |
| 1487631776 | Capital Region Medical Center | Family Medicine | 901 Kidwell Dr, Versailles, MO 65084-1784 | 2005-12-28 |
| 1285610535 | Ellen Divas Webb | Family Medicine | 220 Frankfort St, Suite 2, Versailles, KY 40383 | 2005-12-19 |
| 1609861970 | William J Graul Jr. | Family Medicine | 102 Breckenridge Lane, Versailles, KY 40383-1474 | 2005-09-13 |
| Find all providers in VERSAILLES | ||||
| City | VERSAILLES |
| Zip Code | 65084 |
Please comment or provide details below to improve the information on SUSAN MARY BURKHART.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.